Knowledge, Attitude and Willingness to Use mHealth Technology among Doctors at a Semi Urban Tertiary Hospital in Nigeria (original) (raw)
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JMIR formative research, 2022
Background: Technology acceptability and usage surveys (TAUS) are brief questionnaires that measure technology comfort, typical daily use, and access in a population. However, current measures are not adapted to low-and middle-income country (LMIC) contexts. Objective: The objective of this pilot study was to develop a TAUS that could be used to inform the implementation of a mobile health (mHealth) intervention in Nigeria. Methods: A literature review of validated technology comfort and usage scales was conducted to identify candidate items. The draft measure was reviewed for face validity by an expert panel comprised of clinicians and researchers with cultural, methodological, and clinical expertise. The measure was piloted by radiologists at an oncology symposium in Nigeria. Results: After expert review, the final measure included 18 items organized into 3 domains: (1) comfort with using mobile applications, (2) reliability of internet or electricity, and (3) attitudes toward using computers or mobile applications in clinical practice. The pilot sample (n=16) reported high levels of comfort and acceptability toward using mHealth applications in the clinical setting but faced numerous infrastructure challenges. Conclusions: Pilot results indicate that the TAUS may be a feasible and appropriate measure for assessing technology usage and acceptability in LMIC clinical contexts. Dedicating a domain to technology infrastructure and access yielded valuable insights for program implementation.
2021
Background: Technology acceptability and usage surveys (TAUS) are brief questionnaires that measure technology comfort, typical daily use, and access in a population. However, current measures are not adapted to low-and middle-income country (LMIC) contexts. Objective: The objective of this pilot study was to develop a TAUS that could be used to inform the implementation of a mobile health (mHealth) intervention in Nigeria. Methods: A literature review of validated technology comfort and usage scales was conducted to identify candidate items. The draft measure was reviewed for face validity by an expert panel comprised of clinicians and researchers with cultural, methodological, and clinical expertise. The measure was piloted by radiologists at an oncology symposium in Nigeria. Results: After expert review, the final measure included 18 items organized into 3 domains: (1) comfort with using mobile applications, (2) reliability of internet or electricity, and (3) attitudes toward using computers or mobile applications in clinical practice. The pilot sample (n=16) reported high levels of comfort and acceptability toward using mHealth applications in the clinical setting but faced numerous infrastructure challenges. Conclusions: Pilot results indicate that the TAUS may be a feasible and appropriate measure for assessing technology usage and acceptability in LMIC clinical contexts. Dedicating a domain to technology infrastructure and access yielded valuable insights for program implementation.
2020
This study evaluated mobile phone usage in the health facilities in Igabi local government Nigeria. The study was guided by the following research objectives: i) to establish the usage of mobile phone applications in the health facilities in Igabi local government, Nigeria; and ii) to assess the factors hindering mobile phone application usage in the health facilities in Igabi local government, Nigeria. This study used cross-sectional survey design and a target population of 325 participants. Sample size of 179 respondents was computed using Slovene's formula. The main research instrument was questionnaires. Data was analyzed using frequency and percentage tables. The findings showed that mobile phones were mainly used in health sector of For texting messages(83%),For making calls(66.9%),For video charting(61.5%),For taking photos of different medical related output(87.2%),,Patient Monitoring(43.5%),Medical Education and Training(42.6%),Information management(30.4%),Time management (56.1%) and ,Emailing (59.5%). The results cited the following as major challenges of using mobile devices in health sector. Anxiety(42.6%),Ignorance/lack of knowledge/training (43.9%),Expensive(60.8%),Social influence (52.7%),Poor network for smartphones(54.7%),Privacy and security issues(50.7%)No common digital format for storing patient data.(45.3%),Technical challenges(47.3%). The study recommended that the health sector since the patients are not ignorant on the use of mobile devices (34.9%), the health sector should work on the technical challenge, network for smartphones and integration of different systems.
Adoption of Mobile technology by Public Healthcare doctors
International Journal of …, 2009
South African doctors working in the public healthcare sector are faced with the unique resource constraints prevalent in a developing country. Mobile information and communication technologies (ICTs) hold the promise of improving the quality of healthcare, but this potential can only be unlocked if individuals decide to adopt the new technologies. Understanding the factors that influence the doctor's adoption of a technology is therefore vital. This chapter reports on an investigation into the factors influencing the adoption of mobile devices by doctors in the public healthcare sector in the Western Cape, South Africa. The research methodology was shaped by qualitative enquiry and described through thematic analysis. The authors confirmed the key adoption factors identified in prior research: job relevance, usefulness, perceived user resources and device characteristics. However, some additional adoption factors were uncovered in this research, namely patient influence, support structures from national government and hospital administration, and unease in respect of malpractice legal suits. [Article copies are available for purchase from InfoSci-on-Demand.com]
Diagnostics, 2021
Mobile health (mHealth) technologies have been identified as promising strategies for improving access to healthcare delivery and patient outcomes. However, the extent of availability and use of mHealth among healthcare professionals in Ghana is not known. The study’s main objective was to examine the availability and use of mHealth for disease diagnosis and treatment support by healthcare professionals in the Ashanti Region of Ghana. A cross-sectional survey was carried out among 285 healthcare professionals across 100 primary healthcare clinics in the Ashanti Region with an adopted survey tool. We obtained data on the participants’ background, available health infrastructure, healthcare workforce competency, ownership of a mobile wireless device, usefulness of mHealth, ease of use of mHealth, user satisfaction, and behavioural intention to use mHealth. Descriptive statistics were conducted to characterise healthcare professionals’ demographics and clinical features. Multivariate l...
Determinants of Physicians' Technology Acceptance for Mobile Health Services in Healthcare Settings
Journal of Health Management & Information Science, 2018
World Health Organization reports indicated that the image of health care service delivery has changed by application of mobile health and wireless technologies for supporting and achieving the objectives of the health industry. The present study aimed to determine the level of physicians' familiarity and investigate the factors affecting the acceptance of mobile health from the viewpoint of physicians working in educational hospitals of Zahedan University of Medical Sciences. Method: A cross-sectional study was carried out in Zahedan University of Medical Sciences in the southeast of Iran in 2016. The statistical population included all physicians working in five University Teaching Hospitals (n=150). In this study, systematic random sampling was used. A validated questionnaire, prepared based on the variables of Technology Acceptance Model 2 and models, was used for data collection. To analyze the data, we used descriptive and analytical statistics (Confirmatory Factor Analysis, linear and multiple regression). Results: Most of the respondents (112, or 74.4%) were female and 84 of them (56%) were less than 30 years old. All of the physicians (specialist and general physician) used Smartphones. The score of perceived usefulness, behavioral intention, perceived enjoyment, subjective norm, perceived ease of use, image, volunteering, and objective usability constructs were higher than the average baseline, representing the acceptance of mobile phone by them. The relationship of all the constructs with each other towards the attitudinal and behavioral objectives of the mobile health services acceptance was significant (P< 0.05). However, demonstrability construct had no correlation with perceived usefulness (P>0.05). Conclusion: The results of this study provide useful information to health managers and policymakers so that they can take steps to improve the quality of services using modern technologies. Plans can also be made by considering the factors as behavioral acceptance of mobile health and other effective factors to increase the willingness to use it.
To determine the perception of health workers in the health-care towards tele-medicine application in a new tertiary teaching hospital, a modified structured questionnaire using a prospective postal survey was administered to a cross-section of health workers in Lagos State University Teaching Hospital (LASUTH)/Lagos State University College of Medicine (LASUCOM). Only 60.9% of respondents were familiar with this new emerging concept of tele-medicine / tele-health in the health care system. Although, 50% of health workers had expressed concern about the ethical and medico-legal consideration of tele medicine practice, this was irrespective of their socio-religious background. The principal factors weighing in favour of willingness to use tele-health services were knowledge of telehealth applications (28.1%); perception of tele-health benefits (14.1%), reduced barriers to tele-health care among others. Most of the respondents believed that tele-health would enhance direct access to health care services (23.4%), improve quality of care (14.1%) among others. It is desirable to offer telemedicine to patients especially for emergency and chronic medical conditions.
BMC Medical Informatics and Decision Making
Background Interest in mHealth interventions, defined as the use of mobile phones to access healthcare is increasingly becoming popular globally. Given its technology-based applications, university students may be key clients of the mHealth adoption but studies are rare in sub-Saharan Africa. This study provides a snapshot and baseline evidence on knowledge, attitude and use of mHealth among university students in Ghana. Methods Using a self-administered questionnaire, we collected data between April and June 2017 from 963 randomly sampled undergraduate students at the Kwame Nkrumah University of Science and Technology (KNUST). Pearson’s Chi-square (χ2) test assessed the differences between variables whilst logistic regression models estimated the independent predictors of use of mHealth with p